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Individual

WILLIAM SOUTHALL EVANS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3481 MIKE PADGETT HWY, AUGUSAT YOUTH DEVELOPMENT CAMPUS, AUGUSTA, GA 30906-3815
(706) 792-7587
(706) 792-7586
Mailing address
3481 MIKE PADGET HIGHWAY, AUGUSTA YDC, AUGUSTA, GA 30906
(706) 792-7587
(706) 792-7586

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
032727
GA

Other

Enumeration date
08/01/2005
Last updated
08/04/2014
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